Amniocentesis

Amniocentesis gwaji ne wanda za'a iya yi yayin ciki domin neman wasu matsaloli a cikin jariri mai tasowa. Wadannan matsalolin sun hada da:

• Launin haihuwa
• Matsalolin kwayar halitta
• Kamuwa da cuta
• Ciwon huhu

Amniocentesis yana cire ƙaramin ruwa daga jakar kusa da jaririn a mahaifa (mahaifa). Mafi yawa ana yin sa a ofishin likita ko cibiyar kiwon lafiya. Ba kwa buƙatar zama a asibiti.

Za ku sami duban dan tayi na farko. Wannan yana taimakawa mai ba da lafiyar ku ga inda jaririn yake a cikin mahaifar ku.

Maganin Nono sai a shafa a wani bangare na cikinka. Wani lokaci, ana ba da maganin ta hanyar harbi a cikin fata a yankin ciki. Ana tsabtace fata tare da ruwa mai kashe ƙwayoyin cuta.

Mai ba da sabis naka ya saka doguwar siraran sirara a cikinka zuwa cikin mahaifarka. Ana cire ƙaramin ruwa (kamar cokali 4 ko milliliters 20) daga jakar da ke kewaye da jaririn. A mafi yawan lokuta, ana duban jariri ta duban dan tayi yayin aikin.

Ana aika ruwan zuwa dakin gwaje-gwaje. Gwaji na iya haɗawa da:

• Nazarin kwayoyin halitta
• Matakan matakan alpha-fetoprotein (AFP) (wani abu da aka samar a hanta jariri mai tasowa)
• Al'adu don kamuwa da cuta

Sakamakon gwajin kwayoyin yakan dauki kimanin makonni 2. Sauran sakamakon gwajin suna dawowa cikin kwana 1 zuwa 3.

Wani lokaci ana amfani da amniocentesis daga baya zuwa ciki zuwa:

• Gane cutar
• Bincika ko huhun jaririn ya bunkasa kuma a shirye yake don haihuwa
• Cire ruwa mai yawa daga kusa da jariri idan akwai ruwa mai yawa (polyhydramnios)

Aljihunka na iya bukatar cikewa ga duban dan tayi. Duba tare da mai baka game da wannan.

Kafin gwajin, ana iya ɗaukar jini don gano nau'in jininka da mahimmancin Rh. Kuna iya samun maganin da ake kira Rho (D) Immune Globulin (RhoGAM da sauran nau'ikan) idan kuna da Rh korau.

Amniocentesis yawanci ana bayar da shi ne ga matan da ke cikin haɗarin samun ɗa mai larurar haihuwa. Wannan ya hada da matan da suka:

• Zai cika shekaru 35 ko sama da haka idan sun haihu
• Idan anyi gwajin gwaji wanda ya nuna akwai yuwuwar haihuwa ko wata matsala
• Shin kuna da jarirai waɗanda ke da lahani na haihuwa a cikin wasu masu juna biyu
• Yi tarihin iyali na rikicewar kwayoyin halitta

Ana ba da shawarar shawarwarin kwayoyin halitta kafin aiwatarwa. Wannan zai ba ka damar:

• Koyi game da sauran gwaje-gwajen haihuwa
• Yi yanke shawara game da zaɓuɓɓuka don ganewar asali kafin haihuwa

Wannan gwajin:

• Gwajin gwaji ne, ba gwajin nunawa ba
• Yayi daidai sosai don bincikar cutar rashin lafiya
• Ana yin shi mafi yawa tsakanin makonni 15 zuwa 20, amma ana iya yin kowane lokaci tsakanin makonni 15 zuwa 40

Amniocentesis za a iya amfani dashi don bincika yawancin kwayoyin halitta daban-daban da matsalolin chromosome a cikin jariri, gami da:

• Anencephaly (lokacin da jariri ya ɓace babban ɓangaren kwakwalwa)
• Rashin ciwo
• Rare cuta na rayuwa wanda ya wuce ta cikin dangi
• Sauran matsalolin kwayoyin halitta, kamar trisomy 18
• Cututtuka a cikin ruwan amniotic

Sakamakon al'ada yana nufin:

• Babu wata matsala ta kwayoyin halitta ko ta chromosome da aka samu a cikin jaririn.
• Bilirubin da alpha-fetoprotein sun bayyana na al'ada.
• Ba a sami alamun kamuwa da cuta ba.

Lura: Amniocentesis yawanci shine mafi daidaitaccen gwaji don yanayin kwayar halitta da nakasa, Kodayake ba safai ba, jariri na iya samun kwayar halitta ko wasu nau'ikan lahani na haihuwa, koda kuwa sakamakon amniocentesis na al'ada ne.

Sakamakon sakamako mara kyau na iya nufin cewa jaririn yana da:

• Kwayar halitta ko matsalar chromosome, kamar Down syndrome
• Launin haihuwa wanda ya haɗa da kashin baya ko kwakwalwa, kamar su spina bifida

Yi magana da mai baka game da ma'anar takamaiman sakamakon gwajin ka. Tambayi mai ba ku sabis:

• Ta yaya za a iya magance yanayin ko lahani yayin ciki ko bayan ciki
• Waɗanne buƙatu na musamman ɗanka zai iya samu bayan haihuwa
• Waɗanne zaɓuɓɓuka kuke da su game da kiyaye ko ƙare cikinku

Haɗarin kaɗan ne kaɗan, amma na iya haɗawa da:

• Kamuwa da cuta ko rauni ga jariri
• Zubewar ciki
• Bayar da ruwan amniotic
• Zubar jini ta farji

Al'adu - ruwan amniotic; Al'adu - kwayoyin amniotic; Alpha-fetoprotein - amniocentesis

• Amniocentesis
• Amniocentesis
• Amniocentesis - jerin

Driscoll DA, Simpson JL, Holzgreve W, Otano L. Binciken kwayar halitta da ganewar asali A cikin: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obetetrics: Ciki da Ciki. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 10.

Patterson DA, Andazola JJ. Amniocentesis. A cikin: Fowler GC, eds. Hanyoyin Pfenninger da Fowler don Kulawa da Firamare. 4th ed. Philadelphia, PA: Elsevier; 2020: babi na 144.

Wapner RJ, Dugoff L. Ciwon haifuwa na cututtukan ciki. A cikin: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy da Resnik na Maganin Uwar-Gida: Ka'idoji da Ayyuka. 8th ed. Philadelphia, PA: Elsevier; 2019: sura 32.